Provider Demographics
NPI:1316202062
Name:ABREU, REBECCA POU (LMHC)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:POU
Last Name:ABREU
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13170 SW 128TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5845
Mailing Address - Country:US
Mailing Address - Phone:305-456-8574
Mailing Address - Fax:
Practice Address - Street 1:13170 SW 128TH ST STE 105
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5845
Practice Address - Country:US
Practice Address - Phone:305-456-8574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-09
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11190101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health